| Willie Citrin Md Inc | |
|
3975 Jackson St Ste 203 Riverside CA 92503-3947 | |
| (951) 689-6200 | |
| (951) 689-0351 |
| Full Name | Willie Citrin Md Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3975 Jackson St Ste 203, Riverside, California |
| Authorized Official Name and Position | Willie Citrin (PRES./OWNER) |
| Authorized Official Contact | 9516896200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willie Citrin Md Inc 3975 Jackson St Ste 203 Riverside CA 92503-3947 Ph: (951) 689-6200 | Willie Citrin Md Inc 3975 Jackson St Ste 203 Riverside CA 92503-3947 Ph: (951) 689-6200 |
| NPI Number | 1528257763 |
|---|---|
| Provider Enumeration Date | 10/23/2007 |
| Last Update Date | 10/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528257763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G33413 (California) | Primary |
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